Provider Demographics
NPI:1659081412
Name:CENDRA ARCE, MATEE
Entity Type:Individual
Prefix:
First Name:MATEE
Middle Name:
Last Name:CENDRA ARCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7413 W RUSSELL RD APT 248
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-0726
Mailing Address - Country:US
Mailing Address - Phone:786-720-2414
Mailing Address - Fax:
Practice Address - Street 1:7413 W RUSSELL RD APT 248
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-0726
Practice Address - Country:US
Practice Address - Phone:786-720-2414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider